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We appreciate the comments by Mungo et al regarding our recent publication. They highlight an important consideration for health care providers in low-income and middle-income countries who perform see-and-treat cervical cancer screening. Although we agree that thought must be given to the possible reproductive implications of overtreatment, the cervical cancer incidence and mortality rate of individual populations must be taken into account as well. Continued investigation into the reproductive risks after loop electrosurgical excision procedure is necessary given our novel findings. Ultimately, patient counseling concerning risks and benefits of see-and-treat screening should remain a priority.
机译:我们感谢Mungo等人对我们最近发表的评论。它们突出显示了对进行看诊宫颈癌筛查的低收入和中等收入国家的医疗保健提供者的重要考虑。尽管我们同意必须考虑过度治疗可能对生殖产生的影响,但也必须考虑个体人群的宫颈癌发病率和死亡率。鉴于我们的新发现,有必要继续研究回路电外科切除手术后的生殖风险。最终,关于看诊和筛查的风险和益处的患者咨询仍应是优先事项。

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